Individual
DR. PAUL MORISSEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
501 GREAT RD, NORTH SMITHFIELD, RI 02896-6833
(401) 766-5428
Mailing address
221 NANCY LN, HARRISVILLE, RI 02830-1734
(401) 766-5428
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1946
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8140
BLUE CROSS
RI
01
—
PM00619
MEDICAL ASSISTANCE
RI
Enumeration date
12/15/2006
Last updated
11/18/2015
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